﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Site.Master" AutoEventWireup="true" CodeBehind="Confirmation.aspx.cs" Inherits="Internet_Deliver_Therapy.Views.Index.Confirmation" %>
<asp:Content ID="Content1" ContentPlaceHolderID="MainContent" runat="server">
    <h1>
        E-LEARNING REGISTRATION</h1>
    <p>Page 3 of 3</p>
    <article>
    Please confirm your personal details.<br />
    <asp:Table ID="Table1" runat="server">
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label1" runat="server" Text="First Name (Given Name)*"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblFirstName" runat="server" ></asp:Label></asp:TableCell>
            <asp:TableHeaderCell><asp:Label ID="Label2" runat="server" Text="Gender*"></asp:Label></asp:TableHeaderCell>
            <asp:TableCell><asp:Label ID="lblGender" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label3" runat="server" Text="Last Name (Surname)*"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblLastName" runat="server"></asp:Label></asp:TableCell>
            <asp:TableHeaderCell><asp:Label ID="Label4" runat="server" Text="Race*"></asp:Label></asp:TableHeaderCell>
            <asp:TableCell><asp:Label ID="lblRace" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label5" runat="server" Text="NRIC/Fin*"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblNRIC" runat="server"></asp:Label></asp:TableCell>
            <asp:TableHeaderCell><asp:Label ID="Label6" runat="server" Text="Birth Date*"></asp:Label></asp:TableHeaderCell>
            <asp:TableCell><asp:Label ID="lblDOB" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label7" runat="server" Text="Mobile No.*"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblMobileNo" runat="server"></asp:Label></asp:TableCell>
            <asp:TableHeaderCell><asp:Label ID="Label8" runat="server" Text="Home No."></asp:Label></asp:TableHeaderCell>
            <asp:TableCell><asp:Label ID="lblHomeNo" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label9" runat="server" Text="Email Address*"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblEmail" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label10" runat="server" Text="Preferred mode to receive notification:"></asp:Label></asp:TableHeaderCell> 
            <asp:TableCell><asp:Label ID="lblNotifyVia" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
        <asp:TableRow>
            <asp:TableHeaderCell><asp:Label ID="Label11" runat="server" Text="Opt in for the THRIVE eNewsletter:"></asp:Label></asp:TableHeaderCell>
            <asp:TableCell><asp:Label ID="lblNewsletter" runat="server"></asp:Label></asp:TableCell>
        </asp:TableRow>
    </asp:Table>
    <asp:Button ID="btnBack" runat="server" Text="Back" Width="47px" />    &nbsp;&nbsp;&nbsp;&nbsp;    <asp:Button ID="btnRegister" runat="server" Text="Register" onClick="Register_Click"/>
</article></asp:Content>
